Individual provider Active NPI

Kiesha Harris

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1780262014
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29259 Issued in TN
Practice address
1150 Dovecrest Rd
Memphis, TN 38134-7621
Phone
(502) 259-0196
Fax
(502) 259-0196
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29259 TN Primary

Addresses

Primary practice location

1150 Dovecrest Rd
Memphis, TN 38134-7621

Mailing address

PO Box 746725
Atlanta, GA 30374-6725
Phone (833) 804-1695

Other practice location 1

5339 Elvis Presley Blvd
Memphis, TN 38116-8243
Phone (901) 504-7002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221209002288 TN Practitioner - Family Practice 7214306406 Reassigns benefits to 1 organization
I20230109002687 TN Practitioner - Nurse Practitioner 7214306406 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foner Med, PLLCGroup PAC ID 2860785052, 9 clinicians

Practice addresses (Care Compare)

493 Dr ML King Jr Ave
Memphis, TN 38126-2548
Phone (901) 526-0802

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29259TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foner Med, PLLC CurrentSince Jul 1, 2023 Accepting new patients
Cogent Healthcare of Tennessee, PC CurrentSince May 2, 2023 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Jun 14, 2023 Accepting new patients
SHC Medical Partners of Tennessee, LLC CurrentSince Dec 5, 2022 Accepting new patients
Crossroads Hospice of Tennessee CurrentSince Nov 28, 2022 Accepting new patients
Crossroads Hospice of Tennessee, LLC PastSince Nov 6, 2022 Accepting new patients

Locations

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

10810 E 45th St
Ste 300
Tulsa, OK 74146

240 New Byhalia Rd
Collierville, TN 38017
Phone (901) 492-4920

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

493 Dr Ml King Jr Ave
Memphis, TN 38126
Phone (901) 526-0802

1669 Shelby Oaks Dr N
Ste 106
Memphis, TN 38134
Phone (901) 382-9292

3444 Plaza Ave
Memphis, TN 38111
Phone (901) 324-1013

6025 E Primacy Pkwy
Memphis, TN 38119
Phone (601) 917-2619

5130 Stage Rd
Memphis, TN 38134
Phone (844) 373-3700

1150 Dovecrest Rd
Memphis, TN 38134
Phone (901) 304-8524

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

415 Cole Dr
Pigeon Forge, TN 37863
Phone (865) 428-5454

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15660/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1780262014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746725",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746725",
            "telephone_number": "833-804-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 DOVECREST RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347621",
            "telephone_number": "502-259-0196",
            "fax_number": "502-259-0196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5339 Elvis Presley Blvd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381168243",
            "country_code": "US",
            "telephone_number": "901-504-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KIESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.